<div class="widget">
    <div class="widget-body am-cf">
            <!-- form start -->
            <form class="am-form" data-am-validator id="formDoSubmitDialog">
                <div class="am-form-group">
                    <label class="am-form-label">手机：</label>
                    <div>
                        <input type="text" name="mobile" id="mobile" placeholder="请输入联系手机" maxlength="30" value="" required>
                    </div>
                </div>
               
                <div class="am-form-group">
                    <label class="am-form-label">内容：</label>
                    <div>
                   	 	<textarea name="message" rows="6" id="message"></textarea>
                    	<small>内容不要随意改动。</small>
                    </div>
                </div>
                <div class="am-form-group">
					<button class="am-btn am-btn-secondary" type="submit">确认发送</button>
                </div>
            </form>
        </div>
</div>